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NPI Code Detail

MEDICARE: MR. DANIEL CHRISTOPHER MUNOZ

MEDICARE: MR. DANIEL CHRISTOPHER MUNOZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA23313CA

General Provider Information

NPI Number : 1841629805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL CHRISTOPHER MUNOZ
Provider Business Mailing Address
First Line : 6255 W SUNSET BLVD FL 21
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7422
Country : US
Telephone Number : 323-860-5200
Fax Number : 323-467-7119
Provider Business Practice Location Address
First Line : 4905 HOLLYWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6101
Country : US
Telephone Number : 323-662-0492
Fax Number : 323-662-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2013
Last Update Date : 05/06/2024

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